HomeMy WebLinkAbout20122874.tiff RECEIVED
CMR CLAIMS DEPARTMENT
OCT {35, 2°12 P.O. BOX 60770
EE,� OKLAHOMA CITY, OK 73146-0770
WELD COUNTY 1-866-8874066
CenturyLink- COMMISSIONERS
*****NOTICE OF CLAIM*****
Date: 10-01-2012
CERTIFIED MAIL,RETURN RECEIPT REQUESTED
To: WELD COUNTY
COUNTY COMMISSIONERS
P.O. BOX 758
915 TENTH STREET
GREELEY,CO 80632
CERTIFIED MAID/ 9171 9690 0935 0012 8369 15
RE: Damage to Century Link Property
Century Link Claim Num: 532467
Damage/Discovery Date: 09-07-2012
Damage Location: 31206 W CR 50,KERSEY,CO
Damage County: WELD
Damage Amount: $208.64
Dear Sir/Madam:
Please be advised that Century Link Facilities sustained damage as a result of the negligent acts or
omissions by employees or agents of WELD COUNTY .
Investigation has revealed that on or about 09-07-2012 employees or agents of WELD COUNTY,
WELD COUNTY DAMAGED A CENTURY LINK BURIED SERVICE WIRE DURING
HIGHWAY/STREET EXCAVATION in the area of 31206 W CR 50,KERSEY,CO.
REQUEST FOR GOVERNMENTAL NOTICE FORM
If your Governmental Entity requires the completion of its own form to complete proper notice, please
forward a copy to the address listed above. Every good faith effort has been made to identify the proper
office and address to perfect our notice. Please forward to your attorney, if misdirected, to contact us.
Matters herein stated are alleged on information and belief this pleader believes to be true. If there is
insurance to cover this matter,kindly advise as to the name of the insurance company, its address and the
claim number assigned. If you have any questions, or need additional information, please contact me at
1-800-321-4158 ext 8232. yv�cteLE IIGit o
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Sincerely, =- N 06311463
Holly Finley = m- EX F. 11/28114
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NOTARY
CMR Claims DEPT Commission Expires
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or; CMR CLAIMS DEPARTMENT
P.O. BOX 60770
OKLAHOMA CITY, OK 73146-0770
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CenturyLink-
*****NOTICE OF CLAIM***** RECEIVED
Date: 10-04-2012 OCT 0 9 2012
CERTIFIED MAIL, RETURN RECEIPT REQUESTED WELD COUNTY
COMMISSIONERS
To: WELD COUNTY
COUNTY COMMISSIONERS
P.O.BOX 758
915 TENTH STREET
GREELEY,CO 80632
CERTIFIED MAIL# 9171 9690 0935 0012 1183 70
RE: Damage to Century Lin!! Property
Century Link Claim Num: 523675
Damage/Discovery Date: 04-11-2012
Damage Location: CR 43& CR 46,LASALLE,CO
Damage County: WELD
Damage Amount: $741.38
Dear Sir/Madam:
Please be advised that Century Link Facilities sustained damage as a result of the negligent acts or
omissions by employees or agents of WELD COUNTY .
Investigation has revealed that on or about 04-11-2012 employees or agents of WELD COUNTY.
WELD COUNTY DAMAGED A 25 PAIR BURIED CENTURY LINK CABLE DURING
HIGHWAY/STREET EXCAVATION in the area of CR 43 &CR 46,LASALLE,CO.
REQUEST FOR GOVERNMENTAL NOTICE FORM
If your Governmental Entity requires the completion of its own form to complete proper notice, please
forward a copy to the address listed above. Every good faith effort has been made to identify the proper
office and address to perfect our notice. Please forward to your attorney, if misdirected, to contact us.
Matters herein stated are alleged on information and belief this pleader believes to be true. If there is
insurance to cover this matter,kindly advise as to the name of the insurance company, its address and the
claim number assigned. If you have any questions, or need additional information, please contact me at
1-800-321-4158 ext 8232.
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Sincerely, c F.\ d'
Holly Finley cXp6pj1463E.
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NOTARY
CMR Claims DEPT Commission Expires
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